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Nebraska rates for HCPCS J7606

Formoterol fumarate, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 20 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.97 / $2.86 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $2.73 / $30.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $3.09 / $3.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.94 / $3.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $6.46 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.16 / $6.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.97 / $3.45 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.97 / $14.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.36 / $13.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $10.29 / $30.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $2.73 / $4.09